How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $371.54 | Facility | None | $245.47 | $245.47 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $251.19 | Professional | None (both parts) | $245.47 | $245.47 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $724.44 | Facility | None | $194.98 | $338.84 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $1,288.25 Typical High $1,949.84 | Professional | None (both parts) | $223.87 | $1,288.25 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $549.54 Typical High $660.69 | Facility | None | $380.19 | $549.54 | $660.69 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $208.93 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $208.93 | $302.00 | $645.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Premera BCBS Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $776.25 | Facility | None | $288.40 | $457.09 | $776.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $234.42 | $234.42 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $724.44 | Facility | None | $263.03 | $407.38 | $724.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $223.87 | $234.42 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $263.03 | Professional | None (both parts) | $109.65 | $109.65 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $117.49 | $263.03 | $467.74 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $50.12 | Professional | 53 · Discontinued | $48.98 | $48.98 | $50.12 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $1,318.26 | $1,949.84 | $1,949.84 |
Where Washington sits
The same service costs 5.4 times more in Alaska than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 16th of 51
$263
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.